Laparoscopic treatment of ovarian endometrioma. One year follow-up.
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Laparoscopic treatment of ovarian endometriomas resulted in an 11% recurrence rate after 12 months, with 87% experiencing pain improvement and a 45% fertility rate.
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Abstract
Thirty-six women with ultrasonographic diagnosis of ovarian endometrioma (bilateral in nine of them), have been treated laparoscopically. After the surgical procedure the patients were assigned to one of the following regimes: Gn-RH-a for 3 months, oral contraceptives if they wanted to avoid pregnancy, or nothing. The follow-up consisted in 1-3-6-12 months ultrasound. The first recurrences were observed at the 6-month ultrasound with an overall recurrence rate after 12 months of 11%. Improvement of pain symptoms occurred in 87% of the patients and fertility rate was 45%.
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Cited by (12)
- Recurrence after surgery for endometrioma: a systematic review and meta-analyses 2024
- Long-term GnRH agonist therapy before in vitro fertilisation (IVF) for improving fertility outcomes in women with endometriosis 2019
- The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance 2015
- Evidence-based gynecological practice—clinical review 2: Surgery for pain in endometriosis. What is the evidence? 2009
- Management of Ovarian Endometrioma 2006
- Management of Ovarian 2006
- Aspiration of ovarian endometriomas before intracytoplasmic sperm injection 2004
- Ablative or Excisional Laparoscopic Surgery for Endometriotic Cysts: Resolving the Issue 2004
- Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III–IV endometriosis and endometriotic cysts 2003
- The ovarian endometrioma: why is it so poorly managed?: Indicators from an anonymous survey 2002
- Does Laparoscopic Surgery for Endometriomas Really Relieve Painful Symptoms? 2002
- Endometriotic ovarian cysts: the case for ablative laparoscopic surgery 2001
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